本文關(guān)鍵詞： 眼外傷 眼球摘除 義眼植入 生存質(zhì)量　出處：《暨南大學(xué)》2011年碩士論文　論文類型：學(xué)位論文

【摘要】：目的：采用合適的量表對眼外傷致眼球摘除患者義眼植入前后生存質(zhì)量進行評估,通過比較眼外傷致眼球摘除患者行義眼植入前后生存質(zhì)量變化,以患者生存質(zhì)量得分量化患者主觀感受,為眼外傷致眼球摘除患者義眼植入價值提供客觀依據(jù)。指導(dǎo)醫(yī)生選擇更有效的手術(shù)方案、最佳手術(shù)時機和更符合成本—效果的治療方法,進而重視病人的身體機能、心理功能、社會功能等各方面的改變。 方法：采用生存質(zhì)量電話調(diào)查問卷中文版對48名符合納入標(biāo)準(zhǔn)的患者在義眼植入前2天、植入后1月、半年進行問卷調(diào)查,比較其義眼植入前后生存質(zhì)量的變化；選擇在文化程度、家庭經(jīng)濟狀況、年齡、婚姻情況、眼睛受損情況等方面都相近且與義眼植入前生存質(zhì)量得分相近的保留眼球的患者為配對組共20名,相應(yīng)時段進行問卷調(diào)查,對其生存質(zhì)量進行比較。并采用逐步前進法篩選影響生存質(zhì)量的因素。 結(jié)果：1、義眼植入后1月與植入前2天對比生存質(zhì)量得分明顯提高,差異具有統(tǒng)計學(xué)意義(P≤0.05)。 2、義眼植入后6月與植入后1月對比生存質(zhì)量得分明顯提高,差異具有統(tǒng)計學(xué)意義(P≤0.05)。 3、配對組之間患者生存質(zhì)量無顯著差異(P≥0.05)。 4、逐步前進法篩選出5個主要影響因子：婚姻狀態(tài)(未婚或離異)(Bs=-9.835)、職業(yè)(高層管理者)(Bs=-3.905)為負相關(guān)影響因素；支付方式(責(zé)任方代付)(Bs=8.981)、支付方式(公費醫(yī)療)(Bs=4.427)、受教育程度(初中)(Bs=3.905)為正相關(guān)影響因素。 結(jié)論：義眼植入改善患者外貌的同時能提高患者的生存質(zhì)量,影響患者生存質(zhì)量的因素除了單純的治療外還包括患者的自身因素及社會因素。
[Abstract]:Objective: to evaluate the quality of life before and after artificial eye implantation in patients with ocular trauma induced eyeball extirpation by using a suitable scale, and to compare the changes of quality of life before and after artificial eye implantation in patients with ocular trauma induced eyeball extirpation. To quantify the subjective feelings of patients with quality of life, to provide an objective basis for the value of prosthetic eye implantation in patients with ocular trauma, and to guide doctors to choose more effective surgical procedures. The best operation time and more cost-effect treatment method, and then pay attention to the patient's physical function, psychological function, social function and other aspects of change. Methods: the Chinese version of QOL questionnaire was used to investigate 48 patients who met the inclusion criteria 2 days before implantation, January and half a year after implantation. The quality of life before and after implantation was compared. The matched group consisted of 20 patients who had similar educational level, family economic status, age, marriage and eye damage and had similar quality of life score before artificial eye implantation. The quality of life (QOL) was compared by questionnaire, and the factors affecting the QOL were screened by the progressive method. Results the score of quality of life (QOL) was significantly improved on January and 2 days after implantation, and the difference was statistically significant (P 鈮，

本文編號：1444039